Department of Medicine, Section of Cardiology, The Aga Khan University, Karachi, Pakistan.
Department of Medicine, The Aga Khan University, Karachi, Pakistan.
J Coll Physicians Surg Pak. 2021 Jan;31(1):S29-S31. doi: 10.29271/jcpsp.2021.01.S29.
The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease mainly affects respiratory system. Its common clinical findings include fever, cough and shortness of breath. Characteristic radiological features of the disease include peripherally distributed, bilateral ground-glass opacities, predominantly involving the lower lung zones. In this report, we present a case of COVID-19 disease presenting with spontaneous pneumothorax. A 26-year male patient was admitted to the Emergency Department with fever, dry cough, shortness of breath and right-sided chest pain. Radiographic imaging of the patient revealed pneumothorax on the right and peripherally distributed non-homogenous opacification. The patient underwent right lateral tube thoracostomy. COVID-19 was diagnosed on testing of nasopharyngeal swab. In conclusion, spontaneous pneumothorax is one of the rare presentations of COVID-19 pneumonia and should be kept in mind in patients presenting with shortness of breath and chest pain. Key Words: Spontaneous pneumothorax, Corona, pneumonia.
新型冠状病毒病(COVID-19)是由严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)引起的。该疾病主要影响呼吸系统。其常见的临床发现包括发热、咳嗽和呼吸急促。疾病的特征性放射学特征包括外周分布、双侧磨玻璃影,主要累及下肺区。在本报告中,我们介绍了一例以自发性气胸为表现的 COVID-19 疾病。一名 26 岁男性患者因发热、干咳、呼吸急促和右侧胸痛而被收入急诊科。患者的放射影像学检查显示右侧气胸和外周分布的非均匀性混浊。患者接受了右侧侧胸管引流。通过对鼻咽拭子的检测诊断为 COVID-19。总之,自发性气胸是 COVID-19 肺炎的罕见表现之一,对于出现呼吸急促和胸痛的患者应予以注意。关键词:自发性气胸,冠状,肺炎。